| NPI | 1144425315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.092436) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD437789) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-04-26 |